| NPI | 1710038203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD151645) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A72919) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2012-01-03 |